Effect of Adding Core Exercises to Hip and Knee-focused Exercises on Patellofemoral Pain Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 44
- 试验地点
- 1
- 主要终点
- Pain
研究概览
简要总结
the goal of this interventional study is to Investigate the effect of core strengthening exercises on pain, strength, function, and balance in patients with PFPS.
详细描述
Purpose: Patellofemoral pain syndrome is a frequent musculoskeletal disorder, which can result from core muscles instability that can lead to pain, function and altered dynamic balance. The objective of this study is to assess the effect of core muscle strengthening on pain, function, strength and dynamic balance in patients with patellofemoral pain syndrome.
Subjects and Methods: Forty-four patients with age ranging from 18 to 35 years with patellofemoral pain syndrome will be divided into study (N=22) and control (N=22) groups. Both groups will be given 6 weeks of conventional physical therapy program and an additional core muscle strengthening for the study group. The tools are being used to assess the outcome are 1- Visual Analogue Scale,2- handheld dynamometer,3-AKPS 4- BIODEX Balance.
Hypotheses:
It will be hypothesized that:
- There is no effect of core strengthening exercises on pain in treating PFPS.
- There is no effect of core strengthening exercises on muscle strength in treating PFPS.
- There is no effect of core strengthening exercises on function in treating PFPS.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 35 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients of both genders with an age range of 18- 35 years old.
- •Gradual development of pain in the front of the knee lasting more than 12 weeks.
- •Patients with body mass index 18- 25 kg m
- •Pain is aggravated by at least 2 of the following activities: jumping, running, prolonged sitting, stair climbing, kneeling, and squatting.
- •Positive patellar grinding test.
- •Insidious onset of symptoms, unrelated to a traumatic damage.
排除标准
- •Traumatic patellar subluxation or dislocation.
- •A history of any of the following conditions: meniscal or other intra articular pathologic conditions; cruciate or collateral ligament involvement.
- •Any lower limb bony or congenital deformities.
- •Previous knee and hip joint surgeries.
- •Osteoarthritis in the ankle, knee, or hip joints.
- •Conditions that affect muscle strength such as diabetes mellitus or rheumatoid arthritis.
研究组 & 干预措施
Study group
Group B (study group) (core strengthening exercises added to evidence-based approaches group) The core muscle strength training program The core muscle strength training program will last for 6 weeks and comprise of two training sessions per week, with a total of 12 sessions for the study group.
During the main part of the training, the "big 3" exercises as described by McGill will be conducted. These include the curl-up, side bridge, and quadruped position.
干预措施: Traditional treatment (Other)
Study group
Group B (study group) (core strengthening exercises added to evidence-based approaches group) The core muscle strength training program The core muscle strength training program will last for 6 weeks and comprise of two training sessions per week, with a total of 12 sessions for the study group.
During the main part of the training, the "big 3" exercises as described by McGill will be conducted. These include the curl-up, side bridge, and quadruped position.
干预措施: Core strengthening exercises (Other)
Control group
Group A (control group) (evidence-based approaches group): The participants in the control group will receive only a hip and knee- focused exercise program.
- Hip-focused exercise: Based on previous studies, hip-focused exercises will consist of side- lying hip abduction, hip external rotation (clamshell), and prone hip extension.
- Knee-focused exercise The knee-focused exercise regime will be based on previous studies and consist of supine straight leg raises, supine terminal knee extensions (from 10° flexion to full extension), and a mini squat (45° flexion) with the back supported against the wall (to reduce stabilizing requirements from the hip muscles).
干预措施: Traditional treatment (Other)
结局指标
主要结局
Pain
时间窗: 6 weeks
by Visual analog scale
knee function
时间窗: 6 weeks
by Anterior knee pain scale ( AKPS) ( Kujala )
次要结局
- Muscle strength(6 weeks)
- Balance(6 weeks)
研究者
Rana Ibrahim
Rana Ibrahim Ahmed Mahmoud
Cairo University